Jerilyn V Crisostomo-jaque, PT in Tracy, CA - Medicare Physical Therapist Provider

Jerilyn V Crisostomo-jaque, PT is a medicare enrolled "Physical Therapist" provider in Tracy, California. Her current practice location is 612 W 11th St Ste 109, Tracy, California. You can reach out to her office (for appointments etc.) via phone at (209) 834-2314.

Jerilyn V Crisostomo-jaque is licensed to practice in California (license number PT29460) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184710782.

Contact Information

	Jerilyn V Crisostomo-jaque, PT
	612 W 11th St Ste 109, Tracy, CA 95376-3858
	(209) 834-2314
	(209) 834-2176

Map and Direction

Healthcare Provider's Profile

Full Name	Jerilyn V Crisostomo-jaque
Gender	Female
Speciality	Physical Therapist
Location	612 W 11th St Ste 109, Tracy, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184710782
Provider Enumeration Date: 10/04/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 1759538895
Enrollment ID: I20120824000697

Medical Identifiers

Medical identifiers for Jerilyn V Crisostomo-jaque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184710782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT29460 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jerilyn V Crisostomo-jaque allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerilyn V Crisostomo-jaque is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jerilyn V Crisostomo-jaque, PT 612 W 11th St Ste 109, Tracy, CA 95376-3858 Ph: (209) 834-2314	Jerilyn V Crisostomo-jaque, PT 612 W 11th St Ste 109, Tracy, CA 95376-3858 Ph: (209) 834-2314

Reviews and Comments

Physical Therapist in Tracy, CA

Amrita Patel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1930 W Grant Line Rd, 1930 W Grant Line Road, Tracy, CA 95376 Phone: 209-833-9400
Mrs. Kealoha Alyce Miller, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1423 N Tracy Blvd, Tracy, CA 95376 Phone: 209-830-8855 Fax: 209-830-8837
Mrs. Zoraida Lim Galvez, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1693 Saint Emillion Ct, Tracy, CA 95304 Phone: 209-830-0058
Prime Home Physical Therapy P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1762 Schantz Way, Tracy, CA 95376 Phone: 510-410-7623
Anna Lily Wong, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 855 S Tracy Blvd, Tracy, CA 95376 Phone: 209-803-9388
Crystal Nerence Gomez Cunanan, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2586 Buthmann Ave, Tracy, CA 95376 Phone: 209-832-2273

Jerilyn V Crisostomo-jaque, PT - Medicare Physical Therapist in Tracy, CA